中风是全球残疾的主要原因,常伴有痉挛等并发症。静态拉伸(SS)是一种常见的物理治疗干预,以减少痉挛,而干针(DN)是一种新颖的方法。然而,DN和SS对痉挛的联合作用尚未得到彻底研究。鉴于痉挛对日常活动的关键影响,缓解痉挛可以显著有助于恢复患者的独立性。
■本研究将探讨DN加SS对痉挛的影响,α运动神经元兴奋性,整体功能,和慢性中风患者的生活质量。
■双盲,随机化,假对照试验将在卒中后足底屈肌痉挛患者中进行.二十八个参与者将被随机分配到干预组或对照组。干预组将接受DN(60s×3天/周;1周)加SS(20分钟×5天/周;1周)。对照组将接受假DN(60s×3天/周;1周)和SS(20分钟×5天/周;1周)。
■DN加SS或假DN加SS。
■两组将在基线时进行评估,立即治疗后,并经过1周的随访。结果衡量标准将包括修改后的阿什沃思量表,H反射潜伏期,Hmax/Mmax比值,主动和被动踝关节背屈运动范围,计时并进行测试,和EuroQol问卷。
■这项随机研究的结果,假对照研究将为DN联合SS治疗痉挛的有效性提供证据。
■DN与SS结合的附加影响,一种广泛使用的减少肌肉紧张的方法,尚不清楚,需要进行调查。这项研究,有大量的证据,旨在解决这一知识差距。
UNASSIGNED: Stroke is a leading cause of disability worldwide and is often accompanied by complications such as spasticity. Static stretching (SS) is a common physiotherapy intervention for reducing spasticity, whereas dry needling (DN) is a novel approach. However, the combined effects of DN and SS on spasticity have not been thoroughly investigated. Given the pivotal effect of spasticity on daily activities, mitigating spasticity can significantly contribute to restoring patient independence.
UNASSIGNED: This study will explore the impact of DN plus SS on spasticity, alpha motor neuron excitability, overall function, and quality of life in patients with chronic stroke.
UNASSIGNED: A double-blind, randomized, sham-controlled trial will be conducted in patients with post-stroke spasticity in the plantar flexor muscles. Twentyeight participants will be randomly assigned to either an intervention or control group. The intervention group will receive DN (60s × 3 days/week; 1 week) plus SS (20 min × 5 days/ week; 1 week). The control group will undergo sham DN (60s × 3 days/week; 1 week) and SS (20 min × 5 days/week; 1 week).
UNASSIGNED: DN plus SS or sham DN plus SS.
UNASSIGNED: Both groups will be assessed at baseline, immediately post-treatment, and after 1 week of follow-up. Outcome measures will include the Modified Modified Ashworth Scale, H-reflex latency, Hmax/Mmax ratio, active and passive ankle dorsiflexion range of motion, timed up and go test, and the EuroQol questionnaire.
UNASSIGNED: Results from this randomized, sham-controlled study will provide evidence for the effectiveness of DN in combination with SS for spasticity.
UNASSIGNED: The additional impact of DN in conjunction with SS, a widely used method for reducing muscle tone, remains unclear and warrants investigation. This study, with a high level of evidence, aims to address this knowledge gap.